Steve Leroy Peterson
MOHS-Micrographic Surgeon Plastic Surgeon (Head & Neck) Otolaryngology/Facial Plastic Surgery
1009 North State Of Franklin Access Road
Johnson City
, Tennessee 37604
Steve Leroy Peterson
MOHS-Micrographic Surgeon Plastic Surgeon (Head & Neck) Otolaryngology/Facial Plastic Surgery
1009 North State Of Franklin Access Road
Johnson City
, Tennessee 37604
(423) 929-7968
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About
Features
Specialties
- MOHS-Micrographic Surgeon
- Plastic Surgeon (Head & Neck)
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Steve Leroy Peterson
- 1009 North State Of Franklin Access Road
- Johnson City, TN
- Zip : 37604
- Fax : (423) 929-7968
- Phone : (423) 929-7546
Second Address
- Steve Leroy Peterson
- 1009 North State Of Franklin Access Road
- Johnson City, TN
- Zip : 37604
- Fax : (423) 929-7968
- Phone : (423) 929-7546
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207ND0101X | MOHS-Micrographic Surgeon | 39354 | TN |
| N | 207YX0007X | Plastic Surgeon (Head & Neck) | 39354 | TN |
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 39354 | TN |
National Provider Identifier
| NPI | 1306849500 |
|---|---|
| Provider Name | Steve Leroy Peterson |
| First Address | Johnson City, TN 37604 |
| Second Address | Johnson City, TN 37604 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2005 |
| Last Update Date | 05/11/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.